“I get the referral because nobody else wants to work with this person”: A critical realist analysis of social workers providing care to people living with borderline personality disorder
Borderline personality disorder (BPD) is a mental health condition characterized by unstable relationships, self-image, and emotions, as well as impulsive behaviors and high rates of morbidity and mortality. Provider-based stigmatization of individuals with BPD is associated with poor health outcome...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | SSM: Qualitative Research in Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667321524000970 |
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| author | Aman Ahluwalia-Cameron Adrian Guta Elizabeth Donnelly |
| author_facet | Aman Ahluwalia-Cameron Adrian Guta Elizabeth Donnelly |
| author_sort | Aman Ahluwalia-Cameron |
| collection | DOAJ |
| description | Borderline personality disorder (BPD) is a mental health condition characterized by unstable relationships, self-image, and emotions, as well as impulsive behaviors and high rates of morbidity and mortality. Provider-based stigmatization of individuals with BPD is associated with poor health outcomes and increased mortality risk. However, little is known about social workers' experiences in providing care to people living with BPD (PLBPD). This study explored social workers' perspectives on the impact of stigma on care for PLBPD. Between April 2020 and January 2021, qualitative semi-structured interviews were conducted with 41 social workers practicing across the continuum of care (e.g., community services and hospitals) in Ontario, Canada. Data were analyzed using Critical Realist Analysis. Four primary themes emerged: (1) stigmatization of PLBPD due to the complexity of their needs (e.g., avoidance, blame, name-calling by providers); (2) lack of BPD-specific training and education in social work curricula; (3) observed stigmatization of PLBPD by social workers and other professionals (e.g., psychologists and physicians); and (4) suggestions for improving care experiences for PLBPD. Results suggest that provider-based stigma remains a significant quality of care issue affecting PLBPD. Further research is needed to understand the scope of these issues among diverse PLBPD populations, within social work practice, and across interprofessional care settings. |
| format | Article |
| id | doaj-art-e14ffe2a46554ce2877b822df56c43c3 |
| institution | OA Journals |
| issn | 2667-3215 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Qualitative Research in Health |
| spelling | doaj-art-e14ffe2a46554ce2877b822df56c43c32025-08-20T01:59:35ZengElsevierSSM: Qualitative Research in Health2667-32152024-12-01610048810.1016/j.ssmqr.2024.100488“I get the referral because nobody else wants to work with this person”: A critical realist analysis of social workers providing care to people living with borderline personality disorderAman Ahluwalia-Cameron0Adrian Guta1Elizabeth Donnelly2Corresponding author.; University of Windsor, CanadaUniversity of Windsor, CanadaUniversity of Windsor, CanadaBorderline personality disorder (BPD) is a mental health condition characterized by unstable relationships, self-image, and emotions, as well as impulsive behaviors and high rates of morbidity and mortality. Provider-based stigmatization of individuals with BPD is associated with poor health outcomes and increased mortality risk. However, little is known about social workers' experiences in providing care to people living with BPD (PLBPD). This study explored social workers' perspectives on the impact of stigma on care for PLBPD. Between April 2020 and January 2021, qualitative semi-structured interviews were conducted with 41 social workers practicing across the continuum of care (e.g., community services and hospitals) in Ontario, Canada. Data were analyzed using Critical Realist Analysis. Four primary themes emerged: (1) stigmatization of PLBPD due to the complexity of their needs (e.g., avoidance, blame, name-calling by providers); (2) lack of BPD-specific training and education in social work curricula; (3) observed stigmatization of PLBPD by social workers and other professionals (e.g., psychologists and physicians); and (4) suggestions for improving care experiences for PLBPD. Results suggest that provider-based stigma remains a significant quality of care issue affecting PLBPD. Further research is needed to understand the scope of these issues among diverse PLBPD populations, within social work practice, and across interprofessional care settings.http://www.sciencedirect.com/science/article/pii/S2667321524000970Qualitative researchBorderline personality disorderSocial workStigma |
| spellingShingle | Aman Ahluwalia-Cameron Adrian Guta Elizabeth Donnelly “I get the referral because nobody else wants to work with this person”: A critical realist analysis of social workers providing care to people living with borderline personality disorder SSM: Qualitative Research in Health Qualitative research Borderline personality disorder Social work Stigma |
| title | “I get the referral because nobody else wants to work with this person”: A critical realist analysis of social workers providing care to people living with borderline personality disorder |
| title_full | “I get the referral because nobody else wants to work with this person”: A critical realist analysis of social workers providing care to people living with borderline personality disorder |
| title_fullStr | “I get the referral because nobody else wants to work with this person”: A critical realist analysis of social workers providing care to people living with borderline personality disorder |
| title_full_unstemmed | “I get the referral because nobody else wants to work with this person”: A critical realist analysis of social workers providing care to people living with borderline personality disorder |
| title_short | “I get the referral because nobody else wants to work with this person”: A critical realist analysis of social workers providing care to people living with borderline personality disorder |
| title_sort | i get the referral because nobody else wants to work with this person a critical realist analysis of social workers providing care to people living with borderline personality disorder |
| topic | Qualitative research Borderline personality disorder Social work Stigma |
| url | http://www.sciencedirect.com/science/article/pii/S2667321524000970 |
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